Threats and violence in Swedish community elderly care

Josefsson, Karin; Ryhammar, Lars

doi:10.1016/j.archger.2009.02.010

Cited by 12 publications

(14 citation statements)

References 22 publications

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“…The highest level of patient aggression experienced by nurses was previously confirmed in other countries. According to various authors, in most countries the frequency of this group's exposure to aggression amounts to about 50%, and is therefore similar to the frequency determined in the presented study [10,11,12].…”

Section: Discussionsupporting

confidence: 63%

“…According to the literature, exposure of physicians to patient aggression is inhomogeneous and related to their specialty and employment. Exposure to violence is significantly higher among personnel working with psychiatric and geriatric patients, as well as in emergency units [5,6,9,11,12,13]. Unfortunately, the design of the presented study did not allow for distinguishing subgroups employed in these specific settings among the physicians.…”

Section: Discussionmentioning

confidence: 81%

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Patient aggression towards different professional groups of healthcare workers

Kowalczuk

Krajewska-Kułak

2017

Ann Agric Environ Med.

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Introduction. Patient aggression affects healthcare quality and, in extreme situations, may even lead to medical malpractice. Little is known, however, about the specific distribution of health care professionals' exposure to patient aggression in various countries. Objective. The aim of this study was to assess the exposure of various professional groups of healthcare personnel to patient aggression, and to identify potential determinants (medical profession, age, gender, professional experience and employment at outpatient/inpatient healthcare units) of this exposure. Methods. The study was performed between January 2008 -December 2009 in northeastern Poland, and included 1,624 healthcare workers (493 nurses, 504 midwives, 501 physicians and 126 medical rescue workers). Exposure to eight forms of patient aggression was assessed using the MDM Mobbing Questionnaire. Results. Using a raised voice was the most frequently observed form of aggression in all groups, whereas the least frequent form of aggression encountered was the use of direct physical violence. In inpatient healthcare units, the intensity of patient aggression was encountered most by nurses and medical rescue workers, followed by physicians and midwives. In outpatient healthcare units, medical rescue workers experienced significantly higher levels of aggression when compared to other professional groups. Significant differences in mean aggression intensity experienced in inpatient and outpatient healthcare units were observed only in nurses and physicians. Furthermore, no significant effects of gender were observed on the intensity of patient aggression. Conclusion. Nurses are most exposed to different forms of patient aggression, with verbal attacks being most prevalent. Nurses employed at inpatient healthcare units experienced aggression more frequently than those working in outpatient healthcare units.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 81%

Patient aggression towards different professional groups of healthcare workers

Kowalczuk

Krajewska-Kułak

2017

Ann Agric Environ Med.

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“…This is in contrast with findings in the literature that indicate that healthcare workers in aged care settings experience high levels of violence. 26 One theory that may explain this is the way nurses perceive violence. 27,28 Often, an action is only perceived as violent if it is intentional and deliberate.…”

Section: Discussionmentioning

confidence: 99%

At the crossroads of violence and aggression in the emergency department: perspectives of Australian emergency nurses

Morphet¹,

Griffiths²,

Plummer³

et al. 2014

Aust. Health Review

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Objective. Violence is widespread in Australian emergency departments (ED) and most prevalent at triage. The aim of the present study was to identify the causes and common acts of violence in the ED perceived by three distinct groups of nurses.Methods. The Delphi technique is a method for consensus-building. In the present study a three-phase Delphi technique was used to identify and compare what nurse unit managers, triage and non-triage nurses believe is the prevalence and nature of violence and aggression in the ED.Results. Long waiting times, drugs and alcohol all contributed to ED violence. Triage nurses also indicated that ED staff, including security staff and the triage nurses themselves, can contribute to violence. Improved communication at triage and support from management to follow up episodes of violence were suggested as strategies to reduce violence in the ED Conclusion. There is no single solution for the management of ED violence. Needs and strategies vary because people in the waiting room have differing needs to those inside the ED. Participants agreed that the introduction and enforcement of a zero tolerance policy, including support from managers to follow up reports of violence, would reduce violence and improve safety for staff. Education of the public regarding ED processes, and the ED staff in relation to patient needs, may contribute to reducing ED violence.What is known about the topic? Violence is prevalent in Australian healthcare, and particularly in emergency departments (ED). Several organisations and government bodies have made recommendations aimed at reducing the prevalence of violence in healthcare but, to date, these have not been implemented consistently, and violence continues. What does this paper add? This study examined ED violence from the perspective of triage nurses, nurse unit managers and non-triage nurses, and revealed that violence is experienced differently by emergency nurses, depending on their area of work. Triage nurses have identified that they themselves contribute to violence in the ED by their style of communication.Nurse unit managers and non-triage nurses perceive that violence is the result of drugs and alcohol, as well as long waiting times. What are the implications for practitioners? Strategies to reduce violence must address the needs of patients and staff both within the ED and in the waiting room. Such strategies should be multifaceted and include education of ED consumers and staff, as well as support from management to respond to reports of violence.

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“…Studies are often limited to investigations in mental health institutions or emergency care departments. Other areas of the healthcare system, such as care for elderly or for people with disabilities, are still being neglected in Germany and only a few studies have examined the threats and violence in elderly care 10 12 26. There are no data available for employees in outpatient care and in facilities which provide care for the disabled in Germany.…”

Section: Introductionmentioning

confidence: 99%

Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study

et al. 2012

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ObjectivesIn this study, the frequency and consequences of aggressive assaults on employees in the German healthcare and welfare system were investigated.DesignA retrospective cross-sectional study.SettingEmployees in the German healthcare system and their experiences of violence and aggression were examined in this study.ParticipantsThe sample consisted of 1973 employees from 39 facilities (6 facilities for the disabled, 6 hospitals and 27 outpatient and inpatient geriatric care facilities) who have regular contact with patients or clients.Main outcome measuresThe frequency of physical and verbal violence towards employees and the consequences of aggressive assaults were analysed.Results56% of respondents had experienced physical violence and 78% verbal aggression. The highest frequency of physical violence was in inpatient geriatric care (63%) (p=0.000). Younger workers run a higher risk of being affected by physical violence than older colleagues (OR 1.8, 95% CI 1.3 to 2.4). There is also an increased risk of experiencing physical violence in inpatient geriatric care (OR 1.6, 95% CI 1.2 to 2.0). Around a third of workers feel seriously stressed by the violence experienced. The better the facility trained employees for dealing with aggressive and violent clients, the less risk employees ran of experiencing either verbal aggression (OR 0.5, 95% CI 0.4 to 0.7) or physical violence (OR 0.7, 95% CI 0.6 to 0.9). Training by the facility has a positive effect on experienced stress (OR 0.6, 95% CI 0.4 to 0.8).ConclusionsViolence towards nursing and healthcare personnel occurs frequently. Every third respondent feels severely stressed by violence and aggression. Occupational support provisions to prevent and provide aftercare for cases of violence and aggression reduce the risk of incidents and of perceived stress. Research is needed on occupational support provisions that reduce the risk of staff experiencing verbal and physical violence and the stress that is associated with it.

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Threats and violence in Swedish community elderly care

Cited by 12 publications

References 22 publications

Patient aggression towards different professional groups of healthcare workers

Patient aggression towards different professional groups of healthcare workers

At the crossroads of violence and aggression in the emergency department: perspectives of Australian emergency nurses

Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study

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